Individual provider · Type 1 NPI

Jack Siler Grimes Jr., L.C.S.W.

Clinical Social Worker · Portsmouth, VA

NPI number 1467511295 Active

Practice location

15 Davis St
Portsmouth, VA 23702-3021

Call (757) 238-2038 Map

Fax (757) 238-2038

Mailing address

9016 River Cres
Suffolk, VA 23433-1304

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X0904000386 (VA)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1467511295

Jack Siler Grimes Jr., L.C.S.W.'s National Provider Identifier is 1467511295, issued on Dec 7, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Portsmouth, VA. The record was last updated on Jul 9, 2007.